Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A95223 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | A95223 | CA |
NPI | 1295858512 |
---|---|
Provider Name | Dr. William Scott Green |
First Address | San Francisco, CA 94118-1522 |
Second Address | San Francisco, CA 94118-1522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 05/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
086777 | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER (01) | |
1295858512 | NPI (01) | |
26871681 | BTMG NPI (01) | |
RES000 | (02) |